| NPI | 1174740559 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: MD D76596) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD D76595) |
| 208600000X Surgery (Licence: NY 241659) | |
| 208600000X Surgery (Licence: DC MD046527) | |
| 2086S0129X Surgery, Vascular Surgery (Licence: NY 241659) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2023-11-05 |